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SAN JC UIN COUNTY PUBLIC REALTY ;RVICES
<br /> P O Box 388 • SrOCKTON, CA 95201-0388 • MON., (209) 468-3420
<br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER
<br /> DONNA RERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION
<br /> ENVIRONMENTAL HEALTH
<br /> 'WiFERATING PERMIT FOR L*WJZGRMM STMT TP,'Q:I- E Li. P,,
<br /> Perr�it Ani ual Permit Fep
<br /> Pugbler Capacity Contents Peririt Status Fr{.ffi
<br /> 004276 10,000 unleaded 02 Conditional Permit 01/01/15 121�O' :=
<br /> 004277 10,000 Unleaded 02 Conditional Permit C)1/O1/rr, 12I�i,'.5
<br /> 004279 310M, Unle- dedG; :tine Permit 0i;c11/'j5 1',311`+5
<br /> PERMIT CCiND I T I ON
<br /> 1) j*e F'Efi`NIT TO OPERATE will bectmie void if AP&JAL F`EF`1T Fees and S€RN110E Fees are not, paid and/or t}he UST system(s) fails
<br /> to reusain in comwliance ai.`I the PERMIT CXIITIONS.
<br /> The Pg?t, I TO CC'ERVE is granted to the TA1C: !SER who accepts respcjnsibility foi op"T at•InQ and monitoi-ii:g the UST system
<br /> ac{or dir-9 to State underground stsirage tank lawE and regilltions s well as any conditions established by :'art Joacwin County.
<br /> The TANK TERATORiS), if different. from the tank owner, shall operate and monitor the VST sy=_.tem according to the 01TTEN
<br /> 3PERAT11% ASKEPIENT required under ':,ect-ion 2521=5, Charter 5.7, Division 20, C.aliforrda Health and Safety Code.
<br /> 41 T TA ~raTge TI operation 1 r ownership of the U,.-',T
<br /> rfr H:. (igen _.tri iii-t.i J f.r_ r:.•�:l p'nia•G (t•al F�.l i ,'3_ � 1_sj i� :�n7 _v rC' {, i i o f Q
<br /> U_W6 c0laii;lw l.i rfili�'is=;42; a&s1gni +,F C;ueT'aticor, of tm!i T,ii:liti; t•he --Rill' TO OPERATE Will be reviewed by the
<br /> EnvironpRntai Health, Division.
<br /> 6, A cons?d•JCtion op rOflrWal 7-t?WirE-i rrr,;r the EnYir4ntilFlt.cl Health Division ^rI=ii to :any rptTloval or
<br /> chwfig= of UST syster;± ecuip;i,�
<br /> i; This FtRtiIT TO OPERATE shall rH,t be co9sidere,_ pey-mission to violate any Ezistirg laws, _ET-dinances ot. statutes of other
<br /> ?edePai, state o, local agpn{ins.
<br /> r{,rrBCt•}Oli - r,t coail iet-ed = da t_3 F'e{i: ed r-j n^
<br /> 7 :
<br /> CRMIT TO CPERATr an US' FAC LiTy i;'_jIhyTA , _ Fi
<br /> ,7-' i,� 't`!�3E M I T E AEA-
<br /> CA
<br /> PERMITS TO OPER-ATE a,rn` ANNUAL PERMIT FEE PAYMENT'S Rre NOT TRANSFERABLE
<br /> an,i ma Y be 'E;U'_nPENDED r-.r REV(-1KED f cir c a<use .
<br /> i,:
<br /> THIS F .NT BE D I APED CL I L1LXJS1_Y ON THE PREM I SES
<br /> •n'1- .i.iLSY`t' f-7- j' j S'i, .'TG
<br /> P. E .F.'E,- - _.'i'� 1LL,,C AcCi Kant. IC,�
<br /> Yr1_'=�L_i`�1 E E nVr Fac 11It•y lD;
<br /> t1rahi -r'a Pe+mit• Printed;
<br /> P``1
<br /> tll T1G—lE'R EXPFF'.
<br /> ATTN : iii_OF-1= . Ti�`r:F,Y
<br /> E -Rk
<br /> CO-
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